In 2017, WomanCare delivered 845 babies, with our Certified Nurse Midwives delivering 375 of those babies. Our practice delivered 60% of the babies born at Clark Memorial Hospital, and 32% of all babies born in Southern Indiana!
Sometimes Cesarean section is necessary to avoid complications during labor and delivery. But natural birth is recommended whenever possible for the health of both mother and baby. Cesarean delivery rates in the U.S. continue to decline and were at 26% according to most recent CDC data. (Kentucky’s rate in 2017 was 27%; Indiana’s was 24%). WomanCare’s C-section rate for women receiving a C-section after having one previously for 2017 was 12% of total deliveries, with our Certified Nurse Midwives rate at 5%. Even better, our primary C-section rate — the percent of women receiving a C-section for the first time — was just 7% overall, and 3% for our midwives.
Induction should only be performed for medical reasons or emergencies concerning mom and/or baby, and not for convenience. At WomanCare, labor induction is used to stimulate contractions before labor begins on its own and is performed when health risks are present for mom and/or baby. In 2017, our midwives’ induction rate was 15%, far less than the national average of 24% according to most recent CDC data.
At WomanCare, we’re making an effort to reduce the number of mothers who receive an epidural, as this pain relief method can increase the risk of several complications for mom and baby. Almost 60% of women in the U.S. receive an epidural, while WomanCare’s epidural rate in 2016 was down to 44% overall and only 35% for our midwives.
Natural, vaginal birth is still possible for moms who have previously had a c-section. Research shows that about 60% to 80% percent of women who attempt a trial of labor after cesarean have a successful vaginal delivery. At WomanCare, our 2017 VBAC (vaginal birth after C-section) success rate was 88% overall — and 96% for our midwives!